A5018291666- Acute Myocardial Infarction Research
- Heart Failure Treatment and Management
- HIV-related health complications and treatments
- Global Health and Epidemiology
- Cardiac Arrest and Resuscitation
- Cardiac Health and Mental Health
- Emergency and Acute Care Studies
- Lipoproteins and Cardiovascular Health
- Antiplatelet Therapy and Cardiovascular Diseases
- Health Policy Implementation Science
- Kawasaki Disease and Coronary Complications
- Global Public Health Policies and Epidemiology
- Atrial Fibrillation Management and Outcomes
- Cardiac tumors and thrombi
- ECG Monitoring and Analysis
- Healthcare Quality and Management
- Health Promotion and Cardiovascular Prevention
- Heart rate and cardiovascular health
- Sepsis Diagnosis and Treatment
- Chronic Disease Management Strategies
- Global Maternal and Child Health
- Viral Infections and Immunology Research
- Blood Pressure and Hypertension Studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Primary Care and Health Outcomes
Kilimanjaro Christian Medical Centre
2019-2024
Duke University
2024
Duke Institute for Health Innovation
2024
Clinical Research Institute
2020
Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 2.90. supported by Program for Public Common Good at Boston College. It was founded in 1934 Icahn School Medicine Mount...
Abstract Background Evidence-based care for acute myocardial infarction (AMI) reduces morbidity and mortality. Prior studies in Tanzania identified substantial gaps the uptake of evidence-based AMI care. Implementation science has been used to improve high-income settings, but interventions quality have not studied sub-Saharan Africa. Methods Purposive sampling was recruit participants from key stakeholder groups (patients, providers, healthcare administrators) northern Tanzania....
HIV is associated with increased risk of cardiovascular disease, but there has been less study comorbidities among people in sub-Saharan Africa. In a cross-sectional observational study, Tanzanian adults presenting for outpatient care completed questionnaire and underwent weight, height, blood pressure, glucose measurement. Hypertension was defined by pressure ≥140/90 mmHg or self-reported hypertension. Uncontrolled hypertension as measured mmHg. Diabetes fasting ≥126 mg/dl, random ≥200...
<strong>Background:</strong> Acute coronary syndrome (ACS) is thought to be a rare diagnosis in sub-Saharan Africa, but little known about diagnostic practices for patients with possible ACS symptoms the region. <strong>Objective:</strong> To describe current care Tanzania identify factors that may contribute under-detection. <strong>Methods:</strong> Emergency department chest pain or shortness of breath at Tanzanian referral hospital were prospectively observed. Medical histories obtained,...
Abstract Background The incidence of acute coronary syndrome (ACS) is growing across sub-Saharan Africa and many healthcare systems are ill-equipped for this burden. Evidence suggests that providers may be underdiagnosing undertreating ACS, leading to poor health outcomes. goal study was examine provider perspectives on barriers ACS care in Tanzania order identify opportunities interventions improve care. Methods Semistructured in-depth interviews were conducted with physicians clinical...
Abstract Objective The HEART score successfully risk stratifies emergency department (ED) patients with chest pain in high‐income settings. However, this tool has not been validated low‐income countries. Methods This is a secondary analysis of prospective observational study that was conducted Tanzanian ED from January 2019 through 2023. Adult were consecutively enrolled, and their presenting symptoms medical history recorded. Electrocardiograms point‐of‐care troponin assays obtained for all...
Little is known about long-term outcomes and uptake of secondary preventative therapies following acute myocardial infarction (AMI) in sub-Saharan Africa.
Little is known about healthcare-seeking behaviour and barriers to care for cardiovascular disease (CVD) in sub-Saharan Africa.Emergency department patients Tanzania with acute CVD were prospectively enrolled. Questionnaires administered at enrollment 30 d later.Of 241 patients, 186 (77.2%) had visited another facility the same illness episode (median symptom duration prior presentation was 7 d) 82 (34.0%) reported that they initially unaware of potential seriousness their symptoms. Of 208...
<strong>Introduction:</strong> HIV confers increased risk of myocardial infarction (MI), but there has been little study ischemic electrocardiogram (ECG) findings among people with in sub-Saharan Africa. <strong>Objectives:</strong> To compare the prevalence ECG Tanzanians and without to identify correlates changes HIV. <strong>Methods:</strong> Consecutive adults presenting for routine care at a Tanzanian clinic were enrolled. Age- sex-matched HIV-uninfected controls enrolled from nearby...
Introduction Myocardial Infarction (MI) is a leading cause of death worldwide. In high income countries, quality improvement strategies have played an important role in increasing uptake evidence-based MI care and improving outcomes. The incidence sub-Saharan Africa rising, but northern Tanzania low. There are currently no published interventions from the region. objective this study was to determine provider attitudes towards planned intervention for Tanzania. Methods This conducted at...
Background Chronic myocardial injury is a condition defined by stably elevated cardiac biomarkers without acute ischemia. Although studies from high-income countries have reported that chronic predicts adverse prognosis, there are no published data about the in sub-Saharan Africa. Methods Between November 2020 and January 2023, adult patients with chest pain or shortness of breath were recruited an emergency department Moshi, Tanzania. Medical history point-of-care troponin T (cTnT) assays...
Introduction People with HIV (PLWH) have an increased risk myocardial infarction (MI), and evidence suggests that MI is under-diagnosed in Tanzania. However, little known about barriers to care among PLWH the region. Methods In this qualitative study grounded phenomenology, semi-structured interviews were conducted northern Purposive sampling was used recruit a diverse group of providers who for patients electrocardiographic prior MI. Emergent themes identified via inductive thematic...
The burden of heart failure is growing in sub-Saharan Africa, but there a dearth data characterizing care and outcomes patients the region, particularly emergency department settings.In prospective observational study, adult presenting with shortness breath or chest pain to an northern Tanzania were consecutively enrolled. Participants physician-documented clinical diagnosis included present analysis. Standardized questionnaires regarding medical history medication use administered at...
Background Evidence suggests that acute coronary syndrome (ACS) is underdiagnosed in sub-Saharan Africa. Triage-based interventions have improved ACS diagnosis and management high-income settings but not been evaluated African emergency departments (EDs). Our objective was to estimate the effect of a triage-based screening protocol on care Tanzanian ED. Methods Results All adults presenting ED with chest pain or shortness breath were prospectively enrolled. Treatments clinician-documented...
To describe knowledge, attitudes, and practices (KAP) regarding ischemic heart disease (IHD) among adults with HIV in Tanzania.
Data describing atrial fibrillation (AF) care in emergency centres (ECs) sub-Saharan Africa is lacking. We sought to describe the prevalence and outcomes of AF a Tanzanian EC.In prospective, observational study, adults presenting with chest pain or shortness breath EC were enrolled from January through October 2019. Participants underwent electrocardiogram testing which reviewed by two independent physician judges determine presence AF. asked about their medical history medication use at...